Determining the required level of care for patients with acute bacterial meningitis: case reports and literature review
Bacterial meningitis remains a disease associated with high mortality. Thus, in some hospitals admission of most patients presenting with bacterial meningitis to the intensive care unit (ICU) was a standard procedure. However, ICUs require advanced technologies and highly specialized personnel. Sin...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2021-06-01
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| Series: | Neurologijos seminarai |
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| Online Access: | https://www.journals.vu.lt/neurologijos_seminarai/article/view/27619 |
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| author | G. Makarevičius N. Giedraitienė A. Klimašauskienė |
| author_facet | G. Makarevičius N. Giedraitienė A. Klimašauskienė |
| author_sort | G. Makarevičius |
| collection | DOAJ |
| description |
Bacterial meningitis remains a disease associated with high mortality. Thus, in some hospitals admission of most patients presenting with bacterial meningitis to the intensive care unit (ICU) was a standard procedure. However, ICUs require advanced technologies and highly specialized personnel. Since both economic and human resources are scarce, countries are attempting to develop the most accurate ICU admission criteria that can minimize over- and undertriage. The guidelines designed so far mainly suggest admitting patients to ICU based on their neurological status. However, since neurological condition is not the only factor contributing to the outcomes of bacterial meningitis, over- and undertriage cannot always be avoided. In this article, we present two cases of bacterial meningitis: an elderly man who was denied ICU care since his consciousness was only mildly altered, and a woman who was admitted to ICU because she was diagnosed with meningococcus meningitis. We will also review some literature regarding prognostic factors for bacterial meningitis in an attempt to distinguish valuable criteria for ICU admission.
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| format | Article |
| id | doaj-art-627f8b952df846b99499088a01665b96 |
| institution | Kabale University |
| issn | 1392-3064 2424-5917 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Neurologijos seminarai |
| spelling | doaj-art-627f8b952df846b99499088a01665b962025-01-20T18:22:25ZengVilnius University PressNeurologijos seminarai1392-30642424-59172021-06-01252(88)10.29014/ns.2021.16Determining the required level of care for patients with acute bacterial meningitis: case reports and literature reviewG. Makarevičius 0N. Giedraitienė 1A. Klimašauskienė 2Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania Bacterial meningitis remains a disease associated with high mortality. Thus, in some hospitals admission of most patients presenting with bacterial meningitis to the intensive care unit (ICU) was a standard procedure. However, ICUs require advanced technologies and highly specialized personnel. Since both economic and human resources are scarce, countries are attempting to develop the most accurate ICU admission criteria that can minimize over- and undertriage. The guidelines designed so far mainly suggest admitting patients to ICU based on their neurological status. However, since neurological condition is not the only factor contributing to the outcomes of bacterial meningitis, over- and undertriage cannot always be avoided. In this article, we present two cases of bacterial meningitis: an elderly man who was denied ICU care since his consciousness was only mildly altered, and a woman who was admitted to ICU because she was diagnosed with meningococcus meningitis. We will also review some literature regarding prognostic factors for bacterial meningitis in an attempt to distinguish valuable criteria for ICU admission. https://www.journals.vu.lt/neurologijos_seminarai/article/view/27619bacterial meningitisintensive care unitadmission criteriaprognostic factors |
| spellingShingle | G. Makarevičius N. Giedraitienė A. Klimašauskienė Determining the required level of care for patients with acute bacterial meningitis: case reports and literature review Neurologijos seminarai bacterial meningitis intensive care unit admission criteria prognostic factors |
| title | Determining the required level of care for patients with acute bacterial meningitis: case reports and literature review |
| title_full | Determining the required level of care for patients with acute bacterial meningitis: case reports and literature review |
| title_fullStr | Determining the required level of care for patients with acute bacterial meningitis: case reports and literature review |
| title_full_unstemmed | Determining the required level of care for patients with acute bacterial meningitis: case reports and literature review |
| title_short | Determining the required level of care for patients with acute bacterial meningitis: case reports and literature review |
| title_sort | determining the required level of care for patients with acute bacterial meningitis case reports and literature review |
| topic | bacterial meningitis intensive care unit admission criteria prognostic factors |
| url | https://www.journals.vu.lt/neurologijos_seminarai/article/view/27619 |
| work_keys_str_mv | AT gmakarevicius determiningtherequiredlevelofcareforpatientswithacutebacterialmeningitiscasereportsandliteraturereview AT ngiedraitiene determiningtherequiredlevelofcareforpatientswithacutebacterialmeningitiscasereportsandliteraturereview AT aklimasauskiene determiningtherequiredlevelofcareforpatientswithacutebacterialmeningitiscasereportsandliteraturereview |